Eagles Nest Group Home, Dba
Eagles Nest Group Home, Dba is an Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, Arizona. Licensed in District of Columbia. Registered with an NPI since 2014.
- Licensed in
- DC
- In the registry since
- 2014
Practice location Address checks out
1802 E Dobbins RdPhoenix, AZ 85042-8500
Phone: (602) 568-1441
Fax: (602) 268-4834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence BH4442 (DC) |
|---|
Record details
| NPI number | 1639596927 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ted McClure — Executive-Director · (602) 568-1441 |
| Other names | Eagles Nest Boys Residential Agency |
| NPI enumerated | March 25, 2014 |
| Last updated in NPPES | March 25, 2014 |
| Mailing address | 1802 E Dobbins Rd, Phoenix, AZ 85042-8500 |
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